NPIMap

Organization Active NPI

Quinn Dentists of St. Rose, PC

Doing business as Dentists of St. Rose My Kids Dentist

  • Dentist
  • Henderson, NV
National Provider Identifier
1770138521
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
QUINN DENTISTS OF ST. ROSE, PC
Doing business as
Dentists of St. Rose My Kids Dentist
Practice address
3519 St Rose Parkway, Ste 110
Henderson, NV 89052
Phone
(702) 529-0321
Fax
(702) 577-3412
NPI assigned
Aug 8, 2019
Last updated
Apr 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sophia Quinn, DMD
Title
Owner
Phone
(702) 529-0321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

3519 St Rose Parkway, Ste 110
Henderson, NV 89052

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Other names 1

  • Dentists of St. Rose My Kids Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

3519 Saint Rose Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 529-0321

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1770138521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 ST ROSE PARKWAY, STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-529-0321",
            "fax_number": "702-577-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINN DENTISTS OF ST. ROSE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-529-0321",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of St. Rose My Kids Dentist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentists of St. Rose My Kids Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.